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Individual

WILLIAM B GOODRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 445-4564
(413) 448-2727
Mailing address
740 WILLIAMS ST, PITTSFIELD, MA 01201-7463
(413) 445-4564
(413) 448-2727

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3317
MA
152W00000X
Optometrist
TUY004734-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0369772
MA
Enumeration date
06/26/2006
Last updated
04/30/2009
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